Individual
DR. UMA J. THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD., DALLAS, TX 75390-9257
(214) 648-2122
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0076240
MD
2085R0202X
Diagnostic Radiology Physician
Primary
R2493
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067279300
—
MD
05
—
1316173099
—
VA
Enumeration date
06/08/2009
Last updated
01/06/2020
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